Individual
MARTHA CHIAVETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FDN
Contact information
Practice address
50 HIGH ST, ANGOLA, NY 14006-1318
(716) 491-4522
Mailing address
50 HIGH ST, ANGOLA, NY 14006-1318
(716) 491-4522
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
146N00000X
Basic Emergency Medical Technician
257845
NY
Other
Enumeration date
04/23/2016
Last updated
04/23/2016
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